Consumer perspectives on small group-delivered pain management programs: a qualitative content analysis of survey data

This study aimed to explore what consumers valued in pain management programs delivered in small groups, and how frequently group-related factors were raised spontaneously in their feedback at a pain management unit in South Australia.
Qualitative content analysis of feedback survey data from 109 consumers explored what they valued most and how frequently the group itself was mentioned. All categories were developed inductively, with only group-related codes informed by a recent systematic review. Respondents had attended one of four different programs, delivered in small groups, facilitated primarily by either a physiotherapist or psychologist.
Five categories were identified: program content, the group itself, program structure, the facilitator, and positive changes. The group itself was the second most prevalent category among coded responses, highlighting its relative importance. Findings suggest that peer interaction among similar others and feeling socially safe may positively influence consumer experiences, even within smaller groups than typically reported in group pain management literature. Optimising opportunities for peer interaction and incorporating off-boarding strategies may further enhance engagement and outcomes.
This study highlights the relative importance of the group itself in small group–delivered pain programs and may contribute to improving outcomes for individuals with chronic pain.
Group programs are often used to help people learn skills for managing long-term pain. These programs are sometimes delivered to large groups, but in many services the number of participants may be limited by the type of program, space, staff, or scheduling. This study explored how people experienced smaller groups and what they thought about the programs overall. We reviewed written feedback from 109 adults who completed one of four small group pain management programs at a hospital in South Australia. Everyone completed the same feedback form at the end of their six-week program. We analysed responses to three open questions about what was helpful, what did not meet expectations, and what could be improved. Many said the program content was useful, including practical strategies, pain education, and skills they could use in daily life. The social aspects of being part of a group were also important for some participants. People valued hearing from others with similar experiences and said this helped them feel less alone and more understood. Some wanted the program to run for longer or include follow-up sessions. Most comments about the facilitators were positive. Overall, the findings show that even small groups can offer important benefits for some people while also highlighting areas that could be improved in future programs.